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Quality of life
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NAGI Classification
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Disability is a function of the interaction of the individual with his or her social and physical environments
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Is affected by individual and environmental factors
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Was presented in 1991 by IOM
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Activities of Daily Living (ADL)
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Measures basic tasks of everyday living
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Is used as a predictor of admission to nursing homes and hospitals
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Lots of variation, depending on which items are measured and how a disabling condition is classified
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SF-12, SF-36, and SF-54
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Measure changes in quality of life, mental health, pain, and social function
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Reflect the individual’s perceptions and preferences about physical, emotional, and social well-being
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Hard to detect changes in quality of life over time
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Questions about walking can be construed as offensive to individuals with SCI
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Assessment of Life Habits Scale
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Assesses social participation
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Relates accomplishments of daily habits from personal factors and environmental factors
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Satisfaction with Life Scale (SWLS)
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Consists of five items that are completed by the patient
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Can assess life satisfaction in a particular domain of life (e.g., work or family) or globally
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Is based on the individual’s emotions
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International Classification of Impairment, Disabilities, and Handicaps (ICIDH)
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Was designed by the World Health Organization to classify the consequences of disease and their implications on the patient’s life
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Defines impairment, disabilities, and handicaps
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ICIDH-2 incorporates disability as a dynamic process and holds that environmental factors can influence the impairment
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Craig Handicap Assessment and Reporting Technique (CHART)
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Is based on the World Health Organization model of handicap dimensions
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Uses 27 questions and a 5-point scale to look at physical independence, economic self-sufficiency, social integration, mobility, and occupational functioning
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Needs Assessment Checklist (NAC)
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Is used as a rehabilitation outcome measure designed specifically for spinal cord injury population
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Uses a 4-point scale
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Consists of 199 behavioral indicators that assess patient achievement in nine categories required for maintenance of health and quality of living
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Is not subject to floor or ceiling effects
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